BP-05-494Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/20/2005
Applicant: KAREN MILLER
Owner: MILLER KAREN
JOB ADDRESS: 258 NE 92 ST
Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
Local Phone: 305 - 895 -1368
Parcel # 1132060133390
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -494
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & W1/2 OF LOT 4 & E10FT OF LOT 6
Fees: Description Amount
FEE2005 -4762 Building Painting Fee $60.00
FEE2005 -4763 CCF $1.80
FEE2005 -4764 Notary Fee $5.00
FEE2005 -4765 Training and Education Fee $0.60
FEE2005 -4766 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/4/2005 Construction Value: $2,400.00
Work: PAINT HOUSE EXTERIOR
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 4/20/2005
Applicant: KAREN MILLER
Owner: MILLER KAREN
JOB ADDRESS: 258 NE 92 ST
Parcel # 1132060133390
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -494
Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
Local Phone: 305 - 895 -1368
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & W1/2 OF LOT 4 & E10FT OF LOT 6
Fees: Description Amount
FEE2005 -4762 Building Painting Fee $60.00
FEE2005 -4763 CCF $1.80
FEE2005 -4764 Notary Fee $5.00
FEE2005 -4765 Training and Education Fee $0.60
FEE2005 -4766 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/4/2005 Construction Value: $2,400.00
Work: PAINT HOUSE EXTERIOR
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Correction
Re- Insp'n Fee ❑
2Z
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi g Inspection Request
Date US
Type Insp'n PA t NT'
Permit No. QS- 414
Name 1 •4 1
Address )5/ e q a s+
Company c�Ie , 7 !1 0 `Q.3 r l .1 1n4-
Phone # // n/�
Inspection Date CO1D-
111❑
Owner's Name (Fee Simple
ant/Lessee Name
C it y �i i M% ShA v� S state FL
Miami Shores Village
Building Department
10050 N. -2$
Tel (3O5�7-95..2204 a
�ppn
BUILDING
RI IT APPLICATION ICATION °' � °� = �Nl er�eruut No.
FBC 2001
Permit Type (circle): Buildin; Electrical , ,� Plumbing Mechanical Roofing
a. b I- Phone # 01 ; - `"" 157- i S I L
O wner's Address )-5
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work: r;@ . e
Scanning $
4/
Code Enforcement $
Total F N D $
ee Now Due
(Continued on opposite side)
NO
Florida 33138
756.8972
Permit No. 1 51 2 °S -- 41 4
Zip 3313
Phone #
Zip 33 (
Oat
Contractor's Company Name (t pf i. C Phon # 3b r
Contractor's Address � / 6 N/G / 30
City /It re State • Zip 33/‘/
Qualifier � Lit �C---
State Certificate or Registration No. Certificate of Competency No. 0/ Se/ 3/
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
['Alteration ❑New ❑ Repair/Re lace ❑ Demolition
e_at ffqr 4-e" -
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ (e 0 0 0 CCF $ t 60. CO /CC
Notary $3. «V Training/Education Fee $ f COO Technology Fee $
Radon $ Zoning Bond $
Structural Plan Review. $
G5- 9d rbt cE 4cJ?:
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
i - v • Zip f'
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I .certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this 6
day of � 2 , 2005 by l/(/�,y o 1�� 4C(�C , day of
(/ who is personally
who is personally known t
As
NOTARY PUBLIC:
Sign: ;We �C
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
Signature — 1/
Contrac
The foregoing instrument was acknowledged before me thi
20 by
to hid erwho ha
ath.
NOTARY PUBL
Sign:
Print:
My Co
' 41521
ssion Expires:
gduced
take an oath.
.-:bonded Thu;
*********************************************************************,********* * * * * *** * * *. * * ** ** * *** * * * * * * * * **
***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,,`****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Miami Shores Village
,� Paint Color Approval and Agreement
Date 1/4.(11/05 0
r O wner's Name kt CU- �- � y Phone # 3'05 757 4 «1
Owner's Address as S lt- co- %t
ity VA\e‘§►N1 a‘10 State F-l. Zip 331 3g
Job Address (where the work is being done) A 5 s NYE P-- C t
City Miami Shores Village County Miami Dade Zip
Is Building Historically Designated YES NO . V
Contractor's Company Name (if applicable) Phone #
*************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, *
All elements on the site must be listed and indicate the color to be painted
ff • pc_ ' - 3 s
Drip Cap /drip Edge SO rye j ? Of (7-(4. ,, 2 te
Soffit
Roof /
Flower bins W
Walls
Fascia
Shutters
Awnings GL / I
Chimney DU /� � �
Doors and door jams A )
( Signature
Garage doors w ,
Railings
Fences Gv(
Decorative metal
All brick (simulated or regular)
Stucco banding I+ I t
Any other stucco features iv/If
APPLICATION APPROVED BY:
1/A
Owner or Agent
P &Z°fie(al
Accessory Buildings ���
Other /2 "4-g Z(//o" 4'Q^ ("AA
* * * * * * * * * * * * * * * * * * ** ****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws re ting co . ction and zoning.
Date (1 1 14 ( 1)41—
chc 6/18/03